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General NPI Number Information
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NPI Number | 1194456756
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Entity Type | Individual
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Provider Name | NICHOLAS TORRANCE MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 786 D ST
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City | FORT RICHARDSON
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State | AK
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Zip | 99505-1023
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Country | US
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Telephone | 907-384-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 786 D ST
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City | FORT RICHARDSON
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State | AK
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Zip | 99505-1023
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Country | US
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Telephone | 907-384-0600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 97956
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License Number State | GA
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